{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T10:02:53Z","timestamp":1753869773289,"version":"3.41.2"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,3,29]],"date-time":"2024-03-29T00:00:00Z","timestamp":1711670400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>A clinical audit was carried out on the opinions of doctors working in the Emergency Department (ED) of a large urban hospital regarding the diagnosis and management of cervical spine radiculopathy (CSR). Using international guidelines and current research, it aimed to determine if patients attending this ED were diagnosed and managed in line with best practice, and to identify any discrepancies or areas for improvement in relation to this.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Doctors working in this ED were sent an online questionnaire and descriptive analysis was performed on the results to ascertain how they diagnose and manage patients who present with symptoms of CSR. It covered; presentation and definitions of CSR, identification of red flags, clinical tests used, diagnostic test criteria, appropriate management, education and advice given, and the criteria for further management. Additionally, it looked at their opinion on the services' needs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most agreed that CSR will improve within 4\u00a0weeks with non\u2010operative management; however, there was a lack of consensus regarding the most affected nerve root, differential diagnosis and appropriate diagnostic tests. Opinions aligned regarding the identification of red flags and early management, especially with widespread neurological deficits. However, the management of ongoing pain or new neurological signs, differed between clinicians. Most participants strongly agreed that access to MRIs affected referrals within an ED episode.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Overall, the opinions matched recommended guidelines; however, some gaps in knowledge and differing management approaches were identified, indicating the need for ongoing education and standardisation of management.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.1878","type":"journal-article","created":{"date-parts":[[2024,3,30]],"date-time":"2024-03-30T05:54:14Z","timestamp":1711778054000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A clinical audit of the Emergency Department: Doctors' opinions on the diagnosis and management of cervical spine radiculopathy"],"prefix":"10.1002","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-4254-2930","authenticated-orcid":false,"given":"Patricia","family":"McDonnell","sequence":"first","affiliation":[{"name":"Queen Margaret University  Edinburgh Scotland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kavi C.","family":"Jagadamma","sequence":"additional","affiliation":[{"name":"Queen Margaret University  Edinburgh Scotland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prateek","family":"Rangra","sequence":"additional","affiliation":[{"name":"Queen Margaret University  Edinburgh Scotland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,3,29]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40945\u2010019\u20100056\u20105"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnz075"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2017.0302"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2010.10.023"},{"key":"e_1_2_12_6_1","unstructured":"Childress M. A. &Becker B. A.(2016).Nonoperative management of cervical radiculopathy. Retrieved fromhttp:\/\/www.choosingwisely.org"},{"issue":"3","key":"e_1_2_12_7_1","first-page":"150","article-title":"Neck pain initial evaluation and management","volume":"102","author":"Childress M. A.","year":"2020","journal-title":"American Academy of Family Physicians"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010022\u201007841\u20106"},{"key":"e_1_2_12_9_1","unstructured":"Department of Health. (2021).Sl\u00e1intecare implementation strategy and action plan 2021\u20102023. Retrieved 21 December 2023 fromhttps:\/\/www.gov.ie\/en\/publication\/6996b\u2010slaintecare\u2010implementation\u2010strategy\u2010and\u2010action\u2010plan\u20102021\u20102023"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/jmri.26567"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2020.9971"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586\u2010013\u20102788\u20103"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2008.11.023"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.31616\/ASJ.2020.0647"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891\u2010019\u20102639\u20104"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586\u2010017\u20105121\u20108"},{"volume-title":"Cervical radiculopathy","year":"2016","author":"Kobayashi Y.","key":"e_1_2_12_17_1"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1249\/00005768\u2010199707001\u201000006"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/msc.1498"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2019.02.023"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586\u2010022\u201007180\u20104"},{"key":"e_1_2_12_22_1","unstructured":"National Institute for Health and Care Excellence. (2023).Neck pain \u2010 cervical radiculopathy. Retrieved 1 December 2021 fromhttps:\/\/cks.nice.org.uk\/neck\u2010pain\u2010cervical\u2010radiculopathy"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12961\u2010022\u201000815\u20104"},{"key":"e_1_2_12_24_1","unstructured":"Schers H. Braspenning J. Drijver R. Wensing M. &Grol R.(2000).Low back pain in general practice: Reported management and reasons for not adhering to the guidelines in the Neatherlands."},{"volume-title":"Review article: Best practice management of low back pain in the emergency department (part 1 of the musculoskeletal injuries rapid review series). EMA \u2010 emergency Medicine Australasia","year":"2018","author":"Strudwick K.","key":"e_1_2_12_25_1"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102020\u2010043021"},{"issue":"5","key":"e_1_2_12_27_1","first-page":"468","article-title":"Defensive testing in Dutch family practice. 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